Organization
PHILADELPHIA WOMEN'S CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE GRIFFIN (CREDENTIALING COORDINATOR)
(856) 356-4025
Entity
Organization
Contact information
Practice address
777 APPLETREE ST, 7TH FLOOR, PHILADELPHIA, PA 19106-1526
(215) 574-3590
(215) 574-3595
Mailing address
601 CHAPEL AVE E, SUITE B, CHERRY HILL, NJ 08034-1454
(856) 356-4025
(856) 356-4038
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
00178701
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101798790 0002
—
PA
Enumeration date
05/13/2014
Last updated
05/13/2014
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